25/11/2025
Medicines used to treat GERD
1. Antacids (Rapid Relief)
Neutralize existing stomach acid. They provide quick, short-term relief but do not heal an inflamed esophagus.
· When to use: For occasional, mild heartburn. Taken after symptoms start or before an activity that triggers reflux.
· Examples:
· Entacyd
· Gaviscon, Gavisol, Gavired (contains an alginate that forms a protective foam barrier on top of stomach contents).
2. H2 Receptor Blockers Servipep, Famotack (Longer-Lasting Relief)
Reduce the production of stomach acid. They are slower to start working than antacids (30-60 mins) but provide relief for several hours.
· When to use: For preventing symptoms, especially before a known trigger like a big meal. Good for mild to moderate GERD.
3. Proton Pump Inhibitors (PPIs) - Strongest & For Healing
Block the final step of acid production, powerfully reducing stomach acid. This allows the esophagus to heal from acid damage. They are the most effective medication for chronic GERD.
· When to use: For frequent, moderate to severe GERD (symptoms 2+ times per week). Typically taken 30-60 minutes before the first meal of the day.
· Examples (Available OTC and as stronger prescription):
· Omeprazole (Seclo,Omep)
· Esomeprazole (Nexum, Sergel,Maxpro)
· Lansoprazole (Lanso)
· Pantoprazole (Pantonix)
· Dexlansoprazole (Dexilend,Dexlan, Lanso-D)
4. Prokinetics (Less Common)
Help empty the stomach faster and strengthen the lower esophageal sphincter (LES).
· Domperidone (Omedon,Don-A,Deflux)
:Itokine, Itopride,Itogut
Key Considerations & Warnings
· OTC vs. Prescription: Many of these are available over-the-counter (OTC), but for long-term use or severe symptoms, you should see a doctor.
· Long-Term Use of PPIs: While very safe for most people, long-term use of PPIs has been associated with small risks of certain deficiencies (like B12 or magnesium), bone fractures, and infections. It's important to use the lowest effective dose for the shortest necessary time, under a doctor's guidance.
· Don't Self-Medicate Long-Term: If you find yourself needing OTC GERD medicine for more than two weeks, it's a sign to see a doctor for a proper diagnosis and treatment plan.
This is for informational purposes only. Always consult a doctor or pharmacist before starting any new medication to ensure it's right for you and to check for potential drug interactions.
